The study on lumbar disc herniation complicated with serious cauda equina syndrome
- VernacularTitle:腰椎间盘突出症继发严重马尾神经综合征24例报告
- Author:
Hongyu LI
- Publication Type:Journal Article
- Keywords:
Lumbar disc herniation;
Secondary;
Cauda equina syndrome
- From:
Journal of Chongqing Medical University
1987;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The goal of this study was to investigate the mechanisms of secondary cauda equina syndrome(CES) ,a serious complication of lumbar disc herniation(LDH) ,and to provide a clue of the therapeutic methods and prevention measures. Methods : In the retrospective study,24 cases, who suffered from LDH complicated with CES,were evaluated in regards to etiology, surgical and post - operative results. All the cases were operated with total - laminectomy together with discoidectomy. Results : 24 cases in the follow-up, post-operative period, were analyzed for full,partial and no recovery. Among them, the motor function recovered fully, the disturbance of sphincter recovered partially, the sensory disturbance of sella area recovered partially, and sexual function recovered poorly. Conclusion :CES is a serious complication of LDH,and early operation is the key of the treatment. There are some factors, including the degree of the primary lesion of cauda equina, the choice of the operative chance, the application of the operative method and the manipulative technique of the operation et al,that are closely related with the recoverable degree of CES.
